From the Department of Family Medicine at the Grafenwoehr Army Health Clinic in Germany (Dr Noss) and the Naval Medical Center Portsmouth Joel T. Boone Branch Health Clinic in Virginia Beach, Virginia (Dr Neamand-Cheney).

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An 81-year-old man presented to the family medicine clinic with a complaint of several months of redness and inflammation on his left lower extremity. The lesion appeared after the patient received a diagnosis of deep vein thrombosis about 5 months before the current presentation. The patient received a diagnosis of cellulitis 3 to 4 weeks later and oral antibiotics were prescribed, but they provided no relief. At the current presentation, the patient’s vital signs were normal. Physical examination revealed large, blanching, erythematous plaques that started distal to the knee and tapered at the ankle. The skin was warm and indurated, but not edematous or tender. The skin was hard and had a scaly appearance. Laboratory test results were normal, except for a minimally elevated erythrocyte sedimentation rate. Dermatitis was diagnosed, and the patient was treated with daily Eucerin (Beiersdorf Inc), leg elevation, and compression stockings.